§ 9551. All-payer model
§ 9551. All-payer model In order to implement a value-based payment model allowing participating health care providers to be paid by Medicaid, Medicare, and commercial insurance using a common methodology that may include population-based payments and increased financial predictability for providers, the Green Mountain Care Board and Agency of Administration shall ensure that the model: […]
§ 9571. Definitions
§ 9571. Definitions As used in this subchapter: (1) “Accountable care organization” and “ACO” means an organization of health care providers that has a formal legal structure, is identified by a federal taxpayer identification number, and agrees to be accountable for the quality, cost, and overall care of the patients assigned to it. (2) “Health […]
§ 9572. Meetings of an accountable care organization’s governing body
§ 9572. Meetings of an accountable care organization’s governing body (a) Application. This section shall apply to all regular, special, and emergency meetings of an accountable care organization’s governing body, whether in person or by electronic means, as well as to any other assemblage of members of the ACO’s governing body at which binding action […]
§ 9573. Medicaid advisory rate case
§ 9573. Medicaid advisory rate case (a) On or before December 31 of each year, the Green Mountain Care Board shall review any all-inclusive population-based payment arrangement between the Department of Vermont Health Access and an accountable care organization for the following calendar year. The Board’s review shall include the number of attributed lives, eligibility […]